| NPI | 1205253572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RENEE MACE Mental Health Professional, Owner 509-413-1193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA 288) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |